Individual
DR. CHAD MITCHELL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
929 N MAIN ST, LONDON, KY 40741-1122
(606) 862-0956
(606) 862-0955
Mailing address
117 TRADEPARK DR, SUITE B, SOMERSET, KY 42503-3428
(606) 679-2773
(606) 679-4626
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00466
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100449460
—
KY
Enumeration date
05/29/2013
Last updated
04/07/2017
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